[Diagnosis and Treatment of Alzheimer's Disease: Current Update].

IF 0.6 Journal of the Korean Society of Radiology Pub Date : 2025-01-01 Epub Date: 2025-01-24 DOI:10.3348/jksr.2024.0146
Younghee Yim, Won-Jin Moon
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Abstract

Alzheimer's disease, one of the most common causes of dementia, places a significant socioeconomic burden on aging societies. Encouragingly, extensive research on this neurocognitive disorder has finally uncovered the underpinnings of its pathophysiology, igniting a new era of treatment possibilities. Furthermore, the advent of amyloid PET imaging has allowed diagnosis of the amyloid pathology, the underlying cause of Alzheimer's disease. Notwithstanding the initial setback with aducanumab, the subsequent full FDA approval of two anti-amyloid antibody drugs (Lecanemab and Donanemab) has revolutionized the treatment landscape. These disease-modifying drugs are designed to target and remove beta-amyloid. This review covers the updated diagnostic criteria for Alzheimer's disease and discusses recent developments in treatment strategies, including these new disease-modifying drugs.

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[阿尔茨海默病的诊断和治疗:最新进展]。
阿尔茨海默病是痴呆症最常见的病因之一,给老龄化社会带来了沉重的社会经济负担。令人鼓舞的是,对这种神经认知障碍的广泛研究终于揭示了其病理生理学的基础,点燃了治疗可能性的新时代。此外,淀粉样蛋白PET成像的出现使得淀粉样蛋白病理诊断成为可能,而淀粉样蛋白是阿尔茨海默病的潜在病因。尽管aducanumab最初遭遇挫折,但随后FDA全面批准了两种抗淀粉样蛋白抗体药物(Lecanemab和Donanemab),彻底改变了治疗前景。这些治疗疾病的药物旨在靶向并去除-淀粉样蛋白。这篇综述涵盖了阿尔茨海默病的最新诊断标准,并讨论了治疗策略的最新进展,包括这些新的疾病缓解药物。
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